FDA Adverse Event Injury Summary report: N

GAMMATILE

MDR report key: 10797264 · Received November 5, 2020

Report

Report Number
3014663932-2020-00002
Event Type
Injury
Date Received
November 5, 2020
Date of Event
September 23, 2020
Report Date
November 3, 2020
Manufacturer
GT MEDICAL TECHNOLOGIES
Product Code
KXK
UDI-DI
60860000064509
PMA / PMN Number
K190839
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

TWO CASES HAVE BEEN REPORTED TO THE MANUFACTURER REGARDING ADVERSE EVENTS AFTER THE IMPLANTATION OF GAMMATILE. THESE INCIDENTS OCCURRED ON DIFFERENT DATES WITH DIFFERENT PATIENTS. THE LOTS OF GAMMATILES WERE SEPARATE LOTS USED BY THE SAME MEDICAL INSTITUTION. THE COLLAGEN CARRIER IN THE TWO BATCHES WAS FROM DIFFERENT LOTS. THE STERILIZATION WAS DONE ON TWO SEPARATE DATES. THE CS-131 RADIATIVE RADIOACTIVE SOURCE SEEDS WERE FROM TWO DIFFERENT LOTS. IT IS CURRENTLY UNKNOWN IF THE ADVERSE EVENTS ARE RELATED TO THE USE OF GAMMATILE. THE MEDICAL PHYSICIST DID REPORT THAT THERE WERE ABOUT 2 TIMES AS MANY CLINICIANS IN THE ROOM TO OBSERVE THE SURGERY. GT MEDICAL HAS ATTEMPTED FOLLOW-UP WITH THE USER VIA EMAIL AND PHONE BUT HAVE BEEN UNABLE TO OBTAIN ADDITIONAL INFORMATION. ADDITIONAL FOLLOW-UP WILL BE ATTEMPTED AND THE MDR WILL BE UPDATED AS ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 1

3 WEEKS POST-IMPLANTATION THE PATIENT HAD TO UNDERGO REMOVAL OF THE GAMMATILES DUE TO AN INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1257592 GAMMATILE RADIONUCLIDE BRACHYTHERAPY SEEDS KXK GT MEDICAL TECHNOLOGIES DO2036-009 60860000064509

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention